Owen Charles, Sergey Mcmullen Valid NPI
Individual provider · Counselor · Gloucester, MA
- NPI
- 1982349072
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-05-03
- Last updated
- 2022-05-03
Practice location
3 Blackburn Ctr
Gloucester, MA 01930-2268
(978) 283-7198